HomeMy WebLinkAbout4625 Saulsbury StreetINSPECTION RECORD 73JU
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT:20170VADDRESS: JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
304 Sheer Inspection
106 Foundation wall Insulation
305 Insulation
uo Not your concrete I -nor 10 Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
304 Sheer Inspection
205 Plumbing Underground Ext.
305 Insulation
206 Water Underground
306 Mid -Roof
[(
uo Not c;over underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
[(
t
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT:- ADDRESS: "
JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
i CITY OF WHEAT RIDGE
- Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �� O q - P-7, �, %
Job Address: c-/ s' ,; is�,,,,-„ s
Permit Number: 2 o 1-7 0 Ss 4� C
LlNo one available for inspection: Time q. 1!2 CKJaPM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date:!',
03 -234 -Date:! �f` ° h Inspector: - �}
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: oho
Job Address: (v5
Permit Number: 170
❑ No one available for inspection: Time 1 2 �_ A PM
Re -Inspection required: Yes No
When corrections have been made, ca I'for re -i pection at 303%234- 9
Date: Inspector: C(iYl_
DO NOT REMOVE THIS NOTICE
44 City of Wheat Ridge
"P Residential Roofing PERMIT - 201708602
PERMIT NO: 201708602 ISSUED: 10/25/2017
JOB ADDRESS: 4625 Saulsbury ST EXPIRES: 10/25/2018
JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt shingles - 31 sq Pitch =
4/12
*** CONTACTS ***
OWNER (303)445-1294 VALENTINE KATHRYN A
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,814.00
FEES
Total Valuation 0.00
Use Tax 248.09
Permit Fee 236.00
** TOTAL ** 484.09
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201708602
PERMIT NO: 201708602 ISSUED: 10/25/2017
JOB ADDRESS: 4625 Saulsbury ST EXPIRES: 10/25/2018
JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt shingles - 31 sq Pitch =
4/12
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this perms I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfo and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Al ;,O� to ZZ -6 11-7
Signature of O or CONTRACTOR (Circle one) Dat6
I. This pe was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Off-cial and is not guaranteed.
4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code-�wany ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett U
From:
no-reply@ci.wheatridge.co.us
Sent:
Wednesday, October 25, 2017 9:34 AM
-5--
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag:
Follow up
Flag Status:
Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes �
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 4625 Saulsbury St.
Property Owner Name Kathy Valentine
Property Owner Phone 303-445-1294
Number (enter WITH
dashes, eg 303-123-4567)
13
Vmm
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
VALENTINE Contract.pdf
CONTRACTOR INFORMATION
Contractor Business J & K Roofing
Name
i�
Contractor's License 019983
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-425-7531
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 13000 W. 43rd Dr., Golden Co 80403
(Primary address of your
business)
Contractor Email Address kathyv@jkroofing.com
Retype Contractor Email kathyv@jkroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 31
the entire scope of work:
Project Value (contract 11814
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
No
Pitched roof (2:12 pitch or greater)
14
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
31
Malarkey Highlander
Asphalt
House only -not doing well house
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
15
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Kathy Vendegna
Email not displaying correctly? View it in your browser.
16
.. ,. .< _ �. ,� ». _,�,.= a,✓.r.,`ra�4r�:',,gay,.+�rv-^_�a�r.-,..,�,;•,s:.'-. °.... �, rrr^�a%Ad.
• s. -m, ..�rd,.�l;'.?�:..-.;'�'--.:.� ..?"•.vfiw'•,�Myz»e4'sP'�R+
AL,' CONTRACT
AK Roofing 4
BBB i 13 00 W. 43rd Drive I rvfi s
0 Go den. GO 80403 . i9e. ot.�ol
Phone: 303-425-7531 • Fax: 303-425-1562
www.jkroofing.com
Representative _W��L1 9 A I�A Contact 303-W , )Zhi Date 04. 201-7
Name _0 1 rk K r. I ^Phone
Address _ q 1 ZS / c i 5 v r N
Pinnacol Assurance
303-361-4000
Workers Compensation Insurance
Policy #4079290
LABOR AND MATERIAL SPECIFICATIONS TERMS.
AND CQNDITIONS. PLEASE READ CAREFULLY:
X Recover roof with
Color of shingles 'y c..tn c ✓✓✓T�_
Manufacturer's Warranty Lr�
Tear off _()(1k_
! _
Install Underiaymenwslir w e ..4*
71- Double all Eaves
7. Re -Flash Chimnney and// r Skylights C n M_ �►� *t
1&' New Valleys jjos
tit Replace Ridge Yv k4 I . e
Ventilation 7.0 1.1 d C -e
2k Galvanized Fasteners__(-, 014,15 Fri S t. g il t
?S Replace_— .3 Plumbing Jacks
I Paint roof stacks to match
V Install ,�. t o �' �.� Metal Edging c-vcS _AJAS
Patio or Flat roof --To s w.-
X___ S Year Warranty on labor
I" J & K Roofing to furnish all material and labor
- Permit: W�r_ *, t eluded ___ NOT Included
Clean-up debris and haul off all trash from roof
i4l Roll yard with magnetic roller
Gutters cleaned of roofing debris
Decking Repairs $�..�Ao _„__ Per S
Hidden Layers (tear off) $ per layer
arr -d- tPobcy Pka*.el
119-33 email Kc.A r•/� . t.41<�>1'„e L✓' k,P_o.
City W49- t ` � Zip .3.3
00
Cincinnati Specialty Underwriters
303-653-0023
General Liability Insurance
Policy #CS00061742
�1 Extra work
-S_ �l►�E�1' 1�1Sv,ra�t rQ r ��'�M'f- ;cc d- w r
*_ s or w211 rcJ
The property owner is is not_ using proceeds from
property and casualty insurance policy.
Z” fits- $ --
Deductible if applicable $_ O Uv
Per Colorado State Law CRS § 6-22-105 which states; 100%
the responsibility of the homeowner to pay this amount. J&K
Roofing will not reimburse or promise to reimburse in whole or
in part any amount of the deductible.
Estimated Start Date t ' b uA mk&
TOTAL ESTIMATE $. 2 f .s _
ALL PROPOSALS ARE SUBJECT TO MANAGEMEV APPROVAL
JaK Representative _
Homeowner t.L,_
Date
W7Date1_0jg1_j_?
Homeowner Date
AkGo tAorroeae Wan n Nu bw Expiration Date
You have the right to recind this contract and obtain a full refund of arty deposit within 72 hours after entering the contract. If you plan to use the
proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part. However, J+3 K Roofing is entitled to retain payments or
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201708602
201708602
4625 Saulsbury ST
Residential Re -roof to
4/12
ISSUED: 10/25/2017
EXPIRES: 10/25/2018
install Malarkey asphalt shingles - 31 sq Pitch =
*** CONTACTS ***
OWNER (303)445-1294 VALENTINE KATHRYN A
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,814.00
FEES
Total Valuation 0.00
Use Tax 248.09
Permit Fee 236.00
** TOTAL ** 484.09
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201708602
PERMIT NO: 201708602 ISSUED: 10/25/2017
JOB ADDRESS: 4625 Saulsbury ST EXPIRES: 10/25/2018
JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt shingles - 31 sq Pitch =
4/12
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specificationst
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this perms I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be
perforyand that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Z.6 /!-7
Signature of O or CONTRACTOR (Circle one) Dat6
1. This pe was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalppermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable cotle,6sanpy�o�r�dinnance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From:
no-reply@ci.wheatridge.co.us
Sent:
Wednesday, October 25, 2017 9:34 AM_
To:
CommDev Permits
7,
Subject:
Online Form Submittal: Residential Roofing Permit Application
r�
Follow Up Flag:
Follow up
Flag Status:
Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 4625 Saulsbury St.
Property Owner Name Kathy Valentine
Property Owner Phone 303-445-1294
Number (enter WITH
dashes, eg 303-123-4567)
13
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
VALENTINE Contract.pdf
CONTRACTOR INFORMATION
Contractor Business J & K Roofing
Name
Contractor's License 019983
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
303-425-7531
13000 W. 43rd Dr., Golden Co 80403
Contractor Email Address kathyv@jkroofing.com
Retype Contractor Email kathyv@jkroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
31
the entire scope of work:
Project Value (contract
11814
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
i
No
Pitched roof (2:12 pitch or greater)
14
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
31
Malarkey Highlander
Asphalt
House only -not doing well house
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
15
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Kathy Vendegna
Email not displaying correctly? View it in your browser.
16
'I I so pill 00111111"W~
j CONTRACT
JJ J&K Roofing k
gBg 13000 W. 43rd Drive • Golden, CO 80403 - ssTMafi so -t
Phone: 303-425-7531 • Fax: 303-425-1562
www.ikroofing.com
Representative Kcjt,� _ Contact_ 33 - V Ys - ) Zit '1 Date 0G 201-7
Name �, r}c�. _ Phone 3�3 - I} - y�3 email.5�4 f �,n . �. f�� k,p. oZ)
Address_ 6 Z-5-Srt City —zip 8003.3
Pinnacoi Assurance Cincinnati Specialty Underwriters
303-361-4000 303-653-0023
Workers Compensation Insurance General Liability Insurance
Policy #4079290 Policy #CSU0061742
LABOR AND MATERIAL SPECIFICATIONS, TERMS,
AND C NDITIONS. PLEASE READ CAREFULLY:
A Recover roof with _M F, �A
Color of shingles S, r0A C.
Manufacturer's Warranty 1-r'
Tear off _ 4n _1 C, .X
5�- Install Underlayment— i co "sf ,
Double all Eaves 1
Re -Flash Chimne and/Pr Skylights .� ��� �- '►� h
CR New Valleys C�0.3 e rj�_
til- Replace Ridge +n! 451-n —
a Ventilation RPA e- r r- AL J CA„ k _
Galvanized Fasteners__( 0AJJ S . n ice__
?S Replace__ Plumbing Jacks
!E Paint roof stacks to match `
Install ro ✓ , Metal Edging c-v-cS _ W
Patio or Flat roof 0 f C_ o w, 1
X'..___ :5 Year Warranty on labor
J & K Roofing to furnish all material and labor
Wt%e • F'
Permit: Pcluded ___ NOT Included
55 Clean-up debris and haul off all trash from roof
'I, Roll yard with magnetic roller
Gutters cleaned of roofing debris
u Decking Repairs $ per S
Hidden
Layers (tear off $ per layer
ant tPorcy Ntorte�l
tAc4uswr)
'}j Extra work
lsk - F4 TSO rVo7`
*no At or weiI rCJ
The property owner is is not_ using proceeds from
property and casualty insurance policy.
_ $
6j� - C(tj-, d,wnJO j $ s3?. 6 j
Deductible if applicable $ I., O C/0
Per Colorado State Law CRS § 6-22-105 which states; 100%
the responsibility of the homeowner to pay this amount. J & K
Roofing will not reimburse or promise to reimburse in whole or
in part any amount of the deductible.
Estimated Start Date f ' b
TOTAL ESTIMATE $_ �3 Y �� 2
ALL PROPOSALS ARE SUBJECT TO MANAGEMEV APPROVAL
J & K Representative Date tl3
1
Homeowner Date I�f
Homeowner Date
tMM Aw" C,0 j "— — WorVa8e Loan Nui.d,er1 Expiration Date
You have the right to recind this contract and obtain a fup refund of any deposit within 72 hours after entering the contract. If you plan to use the
proceeds fron) a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part. However, J& K Roofing is entitled to retain payments or
deposits to compensate for roofing work actuatly performed In a workmanlike manner consistent with standard rooting practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
FOR, OFFICE USE ONLY
Date: 3
C"ity of
W bat
"jCSA
'ge
0 MUNn'y ,vFL(')PMENT
(bm I PlanlParmit #
Building & Inspection Services Division Z? 0
7500 W. 29'h Ave., Wheat Ridge, CO 80033 Plan Review Fee:
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
1111 !11111111prip llpq
Address- SsL^e'
20!ty, State, Zi m41?00—
OA%A ov-,ll
M
amm
-_-
Complete all information on BOTH sides of this form
NEW COMMERCIAL
I x w rw ELECTRICAL s UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL
RESIDENTIAL
w ':� !WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCEREPAIR or
REPLACEMENT
PLUMBING SYSTEM/APPLIANCE SYSTEM/APPLIANCEREPAIR REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER ;x
s7 wkz to cz,
Sq. FULFBtu"Gallons
Amps
Squares Other
CERTIFICATE OF OCCUPANCY
City of Wheat Ridge
7500 W 29th Ave
Wheat Ridge CO 80033
Permit# 110967 Issued: 09/22/11
Stipulations: Enclose Existing 20' x 20' Carport.
This certificate verifies that the building constructed and/
or the use proposed of the building and /or premises, under
the above permit number and on property described below,
does comply with the Wheat Ridge Building Code and
development standards of the zone district in which it is
located and may be occupied. All other licensing
requirements for the City must be met.
Site Address: 4625 SAULSBURY ST
Parcel Number: 39- 231 -05 -014
Owner: Kathy Valentine
Contractor: Ken Relyea
Affordable Garages
177 W. Alameda Ave.
Denver, CO 80223
For the Following Purpose: Res. Garage /Carport
Code Edftions NO change shall be made in the USE of
06 ICC /2008 NEC this building without prior notice
2006 SCC /2005 NEC and a new Certificate of Occupancy
_ 2003 ICC /2005 NEC from the City of Wheat Ridge.
�-S rinkler System
i Bui Ahng Inspector Zoning Administrator
CER7I' I F CATE MUST BE POSTED BY FRONT DOOR OF
COMMERCIAL OCCUPANCIES
09/28/11 10:23:13 City of Wheat Ridge - Page 1
bp70l -ls PERMIT INFORMATION - 110967 mmackey
PERMIT INFORMATION:
Permit#: 110967
Address: 4625 SAULSBURY ST
Permit Type: Res. Garage /Carport
Parcel Cd: 39- 231 -05 -014
Permit Dt: 08/16/2011
OWNER: Kathy Valentine
Expires: 08/15/2012
Address:
City /St /Zip:
LAND PARCEL INFORMATION:
Zone Cd: Unassigned
DU: 1 SetBacks- Front: 0.0
Funct Use Unassigned
Last Zone Dt:
Left: 0.0
Subdivision: COULERAN GRANGE
Annex Dt:
Right: 0.0
Cont Type: Miscellaneous
Lot: Block No 0
Back: 0.0
Legal:
JOB DESCRIPTION: Enclose existing 20' x
20' carport
FEES QTY
DUE PAID:
Permit Fee 9,260.00
204.30 204.30
Plan Review Fee .00
101.89 101.89
Plan Review Addtiona .00
30.91 30.91
Total Valuation 9,280.00
.00 .00
Use Tax 9,280.00
167.04 167.04
----
- - - - -- --- - - - - --
504.14 504.14
CONTACTS:
go CIS Affordable Garages Ken Relyea
177 W. Alameda Ave. Denver, CO 80223 3033843242
Owner Kathy valentine 3034451294
PARCEL INFORMATION:
10 Structure Type
BANC
20 Year Built
1955.00
30 Property Type
RESID
PERMIT CONDITIONS:
KC: Approved per plans and red -line
notes on plans. Must comply with 2006 IRC,
2005 NEC and all applicable City
of Wheat Ridge Municipal Codes. Subject to
field inspections.
APPROVALS:
REQUIRED INSPECTIONS STATUS:
PERMIT NOTES-
06/16/11 plans reviewed and approved with
notes on plans
08/16/11 CREATED FROM APPL# 11 -0224
INSPECTION INFORMATION:
# TYPE CONTR#
CALLED CNCL WHO REQ DT INS DT
STATUS
1 FOU:FOUndation Insp. 01 -9461
08/22/11 no RC 08/23/11 08/23/11
COMPLETE
2 SHE:Sheathing /Sheer Ins# 01 -9461
08/25/11 Us KC 08/26/11 08/26/11
COMPLETE
3 BFI:BUilding Final Insp 01 -9461
09/21/11 no MV 09/22/11 09/22/11
COMPLETE
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234 -5933
°�� ° nancy /Type
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 3:00 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date
Inspector
Comments
omments
Monolithic Slab Reinforcement
Lath / Wall Tie
Caissons
Rough Electric
Concrete Encased Ground (CEG)
Rough Mechanical
Footing /Stemwall P.E. Letter 4--
Gas Piping
m>Z -i gz.3 n s'n��A PESO .vat
Uo NOT Four GOn Cretp_ Prior I n Annrnval rlt Thp Ahnva Incnartinna
Underground /Slab Inspections
Date
Inspector
Initials
Comments
Electrical (Underground)
g `y
_
Roof Sheathing
Sewer Service (Underground)
Lath / Wall Tie
Water Service (Underground)
Rough Electric
Plumbing (Below / In -slab)
Rough Mechanical
Heating (Below / In -slab)
Gas Piping
Uo Not Gover Unoeraround or Below /ln -Slah Work Prior To Annrnval of Tho Ahnva Inenarfinnc
Rough Inspections
Date
Inspector
Comments
omments
� '� ��� X '77�
Above Rough Inspections
Wall Sheathing
g `y
_
Roof Sheathing
Lath / Wall Tie
Rough Electric
Rough Plumbing
Rough Mechanical
Gas Piping
Do Not Proceed
Without
Approval Of
Rough Framing
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
omments
Comments
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Building / Frame
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303 - 235 -2846. For ROW and drainage
inspections call 303 - 235 -2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
"Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
I
two/ coo -coca vuwe -, Novo/ cor -ayca rnx
Inspection Type , ✓ e-
Job Addres
Permit Number
e
z rasT 7-'01 Apo ar
6
w r
x
n
4 €
R
❑ No one available for insoecti Tim` AM /PM
r CITY OF WHEAT RIDGE
1 Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE I
Inspection Type
Job Address >r®a
Permit Number � &/
♦
r CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type
Job Address 1 14 .?5 5
Permit Number iljo �7
❑ No one available for inspection: Time its
City of Wheat Ridge
Residential Electric PERMIT - 111087
PERMIT NO: 111087 ISSUED: 09/12/2011
JOB ADDRESS: 4625 SAULSBURY ST EXPIRES: 09/11/2012
DESCRIPTION: Wire and power up garage
* ** CONTACTS * **
owner 303/445 -1294 Kathy Valentine
sub 720/690 -9675 Michael Velasquez 11 -0192 Results Electric
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0009 BLOCK /LOT #: 0/
- *- -FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 560.00
FEES
Permit Fee 29.90
Total Valuation .00 h
Use Tax 10.08
** TOTAL ** - ..39.98
Conditions:
Must comply w/ 2006 IRC & 2005 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this document and /,d�mpanying ap roved plans and specifications. + /
Signature of OWNER or CONTRACTOR (Circle o ) Date
1. This permit was issued based on the irkQrmatiQWprrvided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspection.
Building. ottical
Date
N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
7 - City of
F�ec���le Date:
CO MMUNrn , DEVELOPMENT --
Plan #
Building & Inspection Services Division Permit #
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
/
Building Permit Application
Property Address
Property Owner (please print): K i 7N�/ /�f LL= ,✓�Y�✓ve Phone: 3 Aqs -
Mailing Address`. (if different than property address)
Address:
Citv. State. Zio:
tolltractol': I, s V Z. `C 1 C,
Contractors City License #: Phone:
S;ub.Contract `t'
Electrical: K &suLrr Z'45c7.4se Plumbing: Mechanical:
City License # 11 p /qa- City License# City License #
Descra�itionof ysiorl�s
Contract Value: v
Review Fee (due at time of submittal):
roved C7 po rewew regu�red =,� Bldg Valuation:$
tt�7'
for inspection: Time 4;M, AM
red: Yes t AN 6
ve been made, call for re jnspection of 303- 234 -5933 .
Inspector:
VOT REMOVE THIS NOTICE
♦�
•� CITY OF WHEAT RIDGE
Building Inspection Division
�f (303) 234 -5933 Inspection line
(303) 235 -2855 Office, - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type F12 7A/,
Job Address V, s ��SPa'u v si
Permit Number tf01"/� 7
e.
` ❑ No one available for inspection: Time AM/PM
Re- Inspection required: Yes C>
F -.
,pector:
'
City
of Wheat Ridge
]rte
UA
USE:
UA
Res.
Garage /Carport PERMIT
- 110967
PERMIT NO:
110967
ISSUED:
08/16/2011
JOB ADDRESS:
4625 SAULSBURY ST EXPIRES:
08/15/2012
DESCRIPTION:
Enclose existing 20' x 20' carport
* ** CONTACTS * **
gc 303/384 -3242 Ken Relyea 01 -9461 Affordable Garages
Owner 303/445 -1294 Kathy Valentine
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0009
BLOCK /LOT #:
0/
Conditions:
KC: Approved per plans and red -line notes on plans. Must comply with 2006 IRC,
2005 NEC and all applicable City of Wheat Ridge Municipal Codes. Subject to
field - inspections.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
ant In this document as parties to the work to be performed and that all work to be performed is disclosed in
this den an� its' accompanying approved plans and specifications.
of //OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
S. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspection.
Building Offical
Date
N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
............................
C�t f
/ eft Date: 8
--'"' COMMUNITI' D VELOBMENT
Plan # / ly
Building & Inspection Services Division permit #
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property Address
Property Owner (please print): � �[ �� � � . Phone: 4LP�-- I Z /
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: a-r r �c --h— L—
Contractors City License M Phone: `� LI -3212
Electrical: Plumbing: Mechanical:
City License # City License # City License #
bescrititiorl of vaorlc`:
G��OSE. 2O �cZr� e.Ak— P&9: - - Contract Value: j .
$ ��L —
Review Fe (due at time of submittal):
Squares BTU's Gallo _ Amps Sq Ft. $ / , J'9
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate, applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application..
CIRCLEONE: (OWNER) (C TRA or (AUTHORIZED REPRESENTATIVE of (OWNER) (CONTRACTOR))
PRINT NAME: 1! 2 Pi 42 SIGNATUR 6 /& DATE: e
Ke�iewer ;
FIRE pEPA�. El
Bldg Valuation:
Wheaf Ridee Bufildin Dept: --
k
S�gne` plan checker
T
Work shall comply with the
following codes: 2006 IRC, 2006
IECC, & 2005 NEC.
_ t
t
V
, y
q4
APPROVED
Subject;to Field'! ;pections
e pitch
Cei lin i
Provide roof ea t i ed- exalt — m �
tie downs p +neeea- e�aWe e-a61 �J
Solid 2x biocidng between rafters
that are 2x12 or greater Z �O.C.
— examp)e x ,.19 24'O.C,)
Double 2x�top plate ;
Span _
Span. (example:23'5)
Note: Pre - engineered roof trusses
wltruss clips may be used in lieu of Ceilin$ height
roof structure shown.
Sidin 1 Prsi,�t
Diagonal wind bracing or braced wall panels g ( e x ample: lapwFtlt)
Cal comers and each 25' of wall.
Wall sheathin
� (exampe:+ /i erteAOrpryanadl
• i r
• v .. a . : s. • .. : •. 7 "v
2x LLstttds @__Ve O.C.
y y y ,. .. +• (example:2x6 ®24'O.C.)
>t A Concrete Encased Ground r'. Cont. 2X plate
required for new service B " (example: 2x6)
°
' "' /' Wall insulati
J
. + °'° •• " ",• ".- (lineal - exartryk:, R -19 Fl6erg1as5 EalfS)
❑ Foundation Detail A ' d
❑ Foundation Detail B - _ Footing size 8_X Ve
(aeepage4) (example:6'xt6)
this c h uye > >>
international Co C
onal Code Council as a basic plan submittal under
under
the International Residential Code. It is not intended " �` 1e r
to cover all circumstances. Check with your Department of
b
Building Safety for additional requirements.
,. Fill in the blanks on pages .2 and 3 with dimensions 1 4&26 5 ✓ V1 5-31 UE t
and materials which will be used to build the
structure. Please print legibly.
2. Indicate in the check boxes on page 3 which detail from page 4 will be used.
Note. Heated garages may require special provisions.
Dimension 2J
7 i Indicate
, , truss di ction
O Garage is heated pfV aO —
❑ Garage is n6theated
Show door and window header sizes and location .
and size of landin�q in front of door
a
i Floor Dimension
slope �y
3'!z" minimum
/
eadei
concrete slab
tle
(� $ z
.
Note:
if roof trusses or rafters bear on header,
�y special header design maybe required g �t
10 veil h Double 2x4 or 2x6 trimmers each
end of overhead door header <�1A '
Garage door opening
Garage door opening width 1 U x
Dimension * *See Braced Wall Panel Detail on page 4 to Dimeris W el comply with section R602.10. .
U � C ��� �����` ��"+, c�^" ���. "�",fi't"�'�r�'r�r�jS�k4�Y,}'Ss j n.v.�,C n� S4 t^'3k c`�', �,x �'�4 yq {� �v� x �.�;d✓ 1'T`
�" "i� `�* a ��, s i c y e^..�2 ¢�yk. 7 S �vN^�F`�•a�.wR� ^ F'' f { 4� i u �, `�u��f��.QJ �t�itldit�����.���'�' 1 ni �
s p #n`chPx�r
i CITY OF WHEAT RIDGE
Building Inspection Division
� (303) 234- 5933Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax��
IM0
INSPECTION NOTICE
Inspection Type: , x
Job Address: 40 7 5 5'19IC -11-5 73f -t.a. u G,
Permit Number:
ir.
9
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
"When corrections have been m de, /I for re inspection at 303 234 - 5933
Date: Inspector
DO NOT RE 90 THIS NOTICE
i
Cit of
^� h6 y_ y
at Y Dater 1 7- cM) ° 10
C< MMUN(Ty DEVELOPMEN
Plan #
Building & Inspection Services Division Permit # , D I,
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
property Add�ess . �,e � Z )'2�
Property Owner (please print): &$ UAd.OLTI liLki Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Eowracto: frt�rJY tG G-1T �C�t° Tl2 1 COUP .
Contractors City License #: Phone: 303
Electrical: Plumbing:
Mechanical:
City License # City License #
City License #
DLei6 II0ilO17 0 1fli01{S
D6)0 I(Vt8![6no
SIGNATURE: �crii�`�Mc°i-
2
6�xo ICEt UpGtAbe 70 0nA
Contra
Contractva lue:
KI+ew i2gw (Dr-te
r�
9Ag9 t &NA Retut7r -(L
�Ar
Review Fee (due at time of submittao:
Squares BTU's Gallons _ Amps " Sq Ft
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants; easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
.responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLE ONE
(OWNER)
(CONTRACTOR). or (AOTHORIZED REPRESENTATIVE)
of (OWNER) (CONTRACTOR)
PRINTNAME:
D6)0 I(Vt8![6no
SIGNATURE: �crii�`�Mc°i-
�y�.r DATE: f 7 - 90 - A )
,�'
FIRE pEPARTh7EN� p approvetl}v/ conimen 17- d7sapproved fl rlo reV1eY. requlfed Bldg ValUaYlon $ -
i r '
DEPARTMENT OF COMMUNITY DEVEIOPMENT
7500 wES7 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M92I118315
237-6944 EXT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEIOW.
APP ATION FOR MiSCELLANEOUS PE M T
JOBADDRESS ~!~°ZS -v~~r7 OWNER ZAX~e~
CONTRACTOR ADDfiESS S,A1jS.~d(L2-7
ADDRES5, ^ y,31'7 T~/JAJ~~O N PHONE t~ZIP CODE
CITY l--~IG}t (J.Ip~C9L1 ZIP CODE :ONTRACT PRICE $
PHONE vN (J1' 9 1 D y LICENSE NO. f SB53
1. TVPE Ground ❑
ProieofinpLJ Ofnv 5 or 0 Fon
12. MATERIAL Tofal Squon Fae
$IGNS 3. ILWMINATION Yas❑ No❑ Type Elftt. Permif No.
4 SET BACK FROM PROPERTYLINE N_ S_ E_ W Zona_ Approvad,Zme Inspeator
(SOSCifywhichisfront) ❑ ❑ ❑ ❑ Disapproved
i. TYPE SolidO More Than BO% Open❑ Lest Than 80% Open
FENCES MATERIAI HeiQht
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W ione_ Approved,Zons Inspeetor
. (Spscify whieh ie front) ❑ ❑ ❑ ❑ piaopDrovsd
OTHER 12.
-
3. y
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE, GI
(SETBACHS OR PROJECTqNS INCIUDED)
INSPECTION TICKET
JOB
ADDRESS
my~
DATE: BLDG. PERMITM I S 3/Y
PERMITN
BLDG. CONTR. ''vle
SUBCONTRACTOR
S7REET NAME DATE INSP. REQ. ~"S
SHOW OISTANCES FROM THE M41N BUILDING TPAOJOINING HOUSES, STREETS, ~
DISTANCE TO PROPERTV IINES, NOT MAXIMUM OR AVERAGE DISTANCE. TYPE OF INSP. -
~ Z
APPLICATION FOR PLUMBING; ELECTRIC INSPECTION MADE ~
THIS APPLICATION WILL BECOME A PERMtT TO PERFORM THE INDICATED WOR
PERMIT WILL EXPIRE 60 DAVS FROM DA'fE OF ISSUANCE !F REMARKS
ELECTRICAL PERMIT
STATE IICENSE N0.
PLUMBING PEF
STATE LICENSE N0.
AILMINUM WIRE UNDER SIZE B ILLEGAL
FLOOR
BSM
I ST
dm
N0.
WATER CLASET
FORM
W
R
i
TEMPORARY METER
WASH 80WL
.
.
b
e
NEW SERVICE - AMPS
BATH TUB
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
HEATING
GARBAGE DISP
POWER SUB-CIRCUITS
WA7ER HEATER
Refri rant Gou
UTILITY(RANGE,DISPOSER,ETC.)
AUTO. WASHER
Pbunds CMr s
FIXTURES
DISH WASHER
AUTOMATIC SPRINNLER SYSTEM
WIRING MOTORS d CONTROLS
FIqOR DRAIN
ELEVATOR
SIGN$
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS VER I HP
TOTAL FIXTURES
REMARKS ' w\
I hereby ncknowledqe thot this oDPlico-
fion u correct and understand thot I
tannot starf this projett unfil this oD71i-
cofion ie approved. I shall comply wiih
ths lawa oi the State ol Colorado and io
ihe ZoninQ ReQulations ond Buildinp
Code of the City ot Wheat Ridqe. Any
violalion of the above terma will couae
immediote revowtion of this permil
PERMIT FEE
USE TAX
TOTAL FEE $
ROVED
CHIEF BUILDIN SPECTOR,City o heat Ridye
Date Issued ~ -
NOT VALID UNLE55 I
e(4 y4'C6q
2
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FOR INSPECTIONS
4o01icaM. sionawr.